Active NPI
Your Doctors Urgent Care & Pain Relief Center,LLC
- Health Service Clinic/Center
- Waldorf, MD
National Provider Identifier
1871035527
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- License
- D0040209
- Legal business name
- YOUR DOCTORS URGENT CARE & PAIN RELIEF CENTER,LLC
- Practice address
- 177 Saint Patricks Dr
Waldorf, MD 20603-5532 - Phone
- (301) 396-4444
- Fax
- (301) 396-4449
- NPI assigned
- Nov 12, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Olayinka Olasimbo, PA-C
- Title
- Provider
- Phone
- (301) 396-4444
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | D0040209 | MD | Primary |
Addresses
Primary practice location
177 Saint Patricks Dr
Waldorf, MD 20603-5532
Mailing address
177 Saint Patricks Dr
Waldorf, MD 20603-5532
Phone (301) 396-4444
National Provider Directory
National Provider DirectoryLocations
177 Saint Patricks Dr
Waldorf, MD 20603
Phone (301) 396-4444
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Waldorf, MD
- NPI 1952564973
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478908800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1478908800000",
"number": "1871035527",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "177 SAINT PATRICKS DR",
"city": "WALDORF",
"state": "MD",
"postal_code": "206035532",
"telephone_number": "301-396-4444",
"fax_number": "301-396-4449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "177 SAINT PATRICKS DR",
"city": "WALDORF",
"state": "MD",
"postal_code": "206035532",
"telephone_number": "301-396-4444",
"fax_number": "301-396-4449"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "YOUR DOCTORS URGENT CARE & PAIN RELIEF CENTER,LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-11-12",
"last_updated": "2016-11-12",
"status": "A",
"authorized_official_last_name": "OLASIMBO",
"authorized_official_first_name": "OLAYINKA",
"authorized_official_title_or_position": "PROVIDER",
"authorized_official_telephone_number": "301-396-4444",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "PA-C"
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": "MD",
"license": "D0040209",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waldorf, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.